HomeMy WebLinkAbout1225 Blue Spruce Dr - Applications/Tenant Finish - 06/07/2016COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
I;A ,,., .,
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1J I l!l 0ll/� APPLICATION DATE
Job Site Address I Z2.6- gLi.E SPe_uc_ n e..l �ci_ Unit # aQ,
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (� Q� 1 go "Sve3
Last name MAW AW First Name Middle
Street Address i ('k FY 4 L_ !!3rA"'j— City ogT Gen[ l,041% StateC<,:� Zip
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address.
LEGAL INFO:
Contractor Phone #
City of Fort Collins License #,
City
Supervisor Cert #.
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft A i
Residential Sq Ft Comm'I Sq Ft ,r # of Stories_ Bldg Height ZG -6, # Dwelling Units
15' Floor Sq Ft 2nd Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft I # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size � Sewer Tap Size 3 Metered-oor No Temp. Pedestal Yes or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 2. droo ,� /
Description of Work: 17Bt�., pa irina►. ( G'� v4y Xt`Shors.- S yc,_, .�1 ova t( 4-,d 49t.l { Adt'y w4 It 4,
Subcontractor Info:
Electrical
Framer /OWA(f,3L Roofing
Solar
Other
Mechanical
Concrete
Other
Plumbing ape- 4W2i,.6-6 AluM66,
Fireplace
Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort
Collins ordinances and state laws regulating building construction.
Applicant Signature L/ ` " Print Name co',* 111- 10 Phone Sa83
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
�''""City of Planning, Development and Transportation
F6r t Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
6
eviseda03/3. . /2009 0 3u
Application Number: -r.
Job Site Address: [ Z2-5- bLua segacz- pxr�cf==
New Building
Addition
Building owner: C AAO Mn�eP
Building owner address: I t I Pfi�L- 5nal =
Building owner phone #: - qDJ� - S320 F
Name of Business:
Remodel/TF
Proposed Use: (i.e. medical, office, bank, retail, etc) 5peeeT
Project square footage: /( Sim
For commercial remodels Et tenant finishes, please answer the following questions:
➢ is the remo finishes for an (please circle answer)
existing tenai or new tenant?
Y If for a new tenant, is this the first tenant to occupy this space? Yes or No
➢ If not the initial tenant for
Space? i ►4U ( "w4i.
unit, what'was the previous use of this tenant
Y Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
a�101 A//4yo
Signature of applicant
1�f 9~ /1-1 AfNe
Name (please print)
Date \\
Local daytime phone #